NUR 590 Assignment: Evidence-Based Practice Proposal – Section D: Change Model

NUR 590 Assignment: Evidence-Based Practice Proposal – Section D: Change Model

NUR 590 Assignment: Evidence-Based Practice Proposal – Section D: Change Model

Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

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In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:

Identify the selected model or theoretical framework and discuss its relevance to your project.
Discuss each of the stages in the change model/framework.
Describe how you would apply each stage in your proposed implementation.
In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Evidence-Based Practice Proposal – Section D: Change Model

The proposed project is based on the PICOT question “In US veterans of all ages (P), does the implementation of telephone follow-ups, home visits, and CBT (I) compared to just clinic appointments (C) result in the remission of CMI symptoms (O) within one year (T)?” Roger’s diffusion of innovation theory will be utilized in this project.

Roger’s Diffusion of Innovation Theory its Relevance to the Proposed Project

     Gabriel Tarde was the first sociologist to discuss the concept of the Diffusion of Innovation Theory in 1903. The adopter categories were introduced later by Ryan and Gross in 1943. Everett Rogers later used these concepts in the current theory. The idea of the opinion leaders, opinion followers, and the influence of media interactions on these two groups was introduced in 1957 by Katz (Dibra, 2015). The Diffusion of Innovation theory is a valuable change model that guides technological innovation. This model is relevant to the proposed project since it will direct the adaption of a new intervention in the healthcare organization (Balas & Chapman, 2018).

Stages of Roger’s Diffusion and the Application of each Stage in the Implementation of the Proposed Project

 Roger’s Diffusion of Innovation Theory has five stages, which are applicable in the proposed project. The first stage is the innovators, which involves people ready to take a risk and be the first to try the innovation. They are interested in new ideas, and nothing needs to be done to convince them to embrace the new idea (Aizstrauta et al., 2015). This stage is applicable in implementing the proposed project where some healthcare professionals will be willing to take a risk and be the first group to implement telephone follow-ups, home visits, and CBT among US veterans with CMI symptoms.

The second stage involves the early adopters who represent opinion leaders. They use their leadership power to embrace the proposed change opportunities (Aizstrauta et al., 2015). They understand the impact of the new ideas in the organizations, thus supporting them comfortably. This group only requires manuals and information sheets to guide them during the implementation. This stage is applicable in implementing the proposed project, where leaders use their power to support the new ideas.

The early majority is the third stage of Roger’s Diffusion Model. This stage involves individuals who are not leaders but adopt new ideas before others (Dearing & Cox, 2018). They ask for evidence about the effectiveness of the proposed innovation for them to adopt it. This population is appealed by the evidence and the success stories of the proposed design. This third stage of Roger’s Diffusion Theory is applicable in implementing the proposed project where some healthcare practitioners are willing to adopt the new ideas before the others.

The fourth stage of this model is the late majority. Individuals in this group are skeptical of change (Dearing & Cox, 2018). They will only embrace an innovation after the majority have tried it. This population is appealed by the number of people who have been successful in implementing the new strategies. This fourth stage of this model is applicable in implementing the proposed project, where some healthcare practitioners will be reluctant to embrace the change until they witness its success.

The last stage of this model is the laggards, which involves a group of conservatives who are bound by tradition. They are contended with the current practices and are very skeptical of change (Dearing & Cox, 2018). Therefore, this is the most challenging group to bring on board. This group is convinced to adopt the innovation by the fear of being fired and pressure from their colleagues. This stage is applicable in implementing the proposed project, where some healthcare professionals will not be willing to embrace the change since they are contented with the current practices.

References

Aizstrauta, D., Ginters, E., & Eroles, M. A. P. (2015). Applying the theory of diffusion of innovations to evaluate technology acceptance and sustainability. Procedia Computer Science, 43, 69-77.

Balas, E. A., & Chapman, W. W. (2018). Road map for the diffusion of innovation in health care. Health Affairs, 37(2), 198-204.

Dearing, J. W., & Cox, J. G. (2018). Diffusion of innovations theory, principles, and practice. Health Affairs, 37(2), 183-190.

Dibra, M. (2015). Roger’s theory on diffusion of innovation-the most appropriate theoretical model in the study of factors influencing the integration of sustainability in tourism businesses. Procedia-Social and Behavioral Sciences, 195, 1453-1462.